Shawn Holloway, R.A.S.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Taft, CA
NPI 1194004002 · NPPES record last updated Aug 9, 2011
Key facts
- NPI
- 1194004002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- H0608122153 (CA)
- Practice address
- 1021 4TH St
Taft, CA 93268-2433 - Phone
- (661) 765-7025
- Fax
- (661) 765-7045
- NPI assigned
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0608122153 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | H0608122153 | CA | Yes |
Addresses
Primary practice location
1021 4TH St
Taft, CA 93268-2433
Mailing address
37 La Mesa Dr
Bakersfield, CA 93305-2919
Other providers in Taft, CA
- May Jaffar Hadi
- Ronald Carl Hainsel Hernandez Jr.
- Susan Marie Harrison
- Heather Dawn Hillhouse
- Tamara Rachelle Hilvers
- Victor L Hudson
- J. Sterling Bryan, D.D.S., P.C.
- Ania Jafaryan
- Markie Caitlin Johnson
- Heather Keith
All providers in Taft, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.